Idiopathic polypoidal choroidal vasculopathy

Background. Idiopathic polypoidal choroidal vasculopathy (IPCV) is uncommon condition. It is considered to be a variant of neovascular age-related macular degeneration, but it can be also found in younger patients. Case report. We presented a case of otherwise healthy, 36-year-old women, with su...

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Main Authors: Cekić Sonja, Risimić Dijana, Jovanović Ivan, Đorđević-Jocić Jasmina
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2012-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501201085C.pdf
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author Cekić Sonja
Risimić Dijana
Jovanović Ivan
Đorđević-Jocić Jasmina
author_facet Cekić Sonja
Risimić Dijana
Jovanović Ivan
Đorđević-Jocić Jasmina
author_sort Cekić Sonja
collection DOAJ
description Background. Idiopathic polypoidal choroidal vasculopathy (IPCV) is uncommon condition. It is considered to be a variant of neovascular age-related macular degeneration, but it can be also found in younger patients. Case report. We presented a case of otherwise healthy, 36-year-old women, with sudden unilateral visual impairment in the left eye and metamorphosia. Slit lamp biomicroscopy examination of the eye anterior segment was normal. Intraocular pressure determined by aplanation tonometry was 16 mmHg in both eyes. Indirect slit lamp biomicroscopy examination showed signs of serosanquinous detachments of the retinal pigment epithelium. Fluorescein angiography showed a subretinal vessel network through the pigment epithelial atrophy with hyperfluorescence in superior part of serohemorrhagic pigment epithelial detachment and the inferior hypofluorescence, caused by hemorrhage. Optical coherence tomography proved detachment of the retinal pigment epithelium. Conclusion. In patients with IPCV a mild, natural course with spontaneous resorption of exudations and hemorrhage and improvement in visual acuity can be observed. There is no approved treatment at present.
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series Vojnosanitetski Pregled
spelling doaj-art-edba637b0ff74e3f989a43babb9acbb32025-08-20T02:21:39ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502012-01-01691858910.2298/VSP1201085CIdiopathic polypoidal choroidal vasculopathyCekić SonjaRisimić DijanaJovanović IvanĐorđević-Jocić JasminaBackground. Idiopathic polypoidal choroidal vasculopathy (IPCV) is uncommon condition. It is considered to be a variant of neovascular age-related macular degeneration, but it can be also found in younger patients. Case report. We presented a case of otherwise healthy, 36-year-old women, with sudden unilateral visual impairment in the left eye and metamorphosia. Slit lamp biomicroscopy examination of the eye anterior segment was normal. Intraocular pressure determined by aplanation tonometry was 16 mmHg in both eyes. Indirect slit lamp biomicroscopy examination showed signs of serosanquinous detachments of the retinal pigment epithelium. Fluorescein angiography showed a subretinal vessel network through the pigment epithelial atrophy with hyperfluorescence in superior part of serohemorrhagic pigment epithelial detachment and the inferior hypofluorescence, caused by hemorrhage. Optical coherence tomography proved detachment of the retinal pigment epithelium. Conclusion. In patients with IPCV a mild, natural course with spontaneous resorption of exudations and hemorrhage and improvement in visual acuity can be observed. There is no approved treatment at present.http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501201085C.pdfchoroid diseasesmacular degenerationtomography, optical coherencefluoresce in angiographydiagnosisdiagnosis, differentialchoroid hemorrhageprognosis
spellingShingle Cekić Sonja
Risimić Dijana
Jovanović Ivan
Đorđević-Jocić Jasmina
Idiopathic polypoidal choroidal vasculopathy
Vojnosanitetski Pregled
choroid diseases
macular degeneration
tomography, optical coherence
fluoresce in angiography
diagnosis
diagnosis, differential
choroid hemorrhage
prognosis
title Idiopathic polypoidal choroidal vasculopathy
title_full Idiopathic polypoidal choroidal vasculopathy
title_fullStr Idiopathic polypoidal choroidal vasculopathy
title_full_unstemmed Idiopathic polypoidal choroidal vasculopathy
title_short Idiopathic polypoidal choroidal vasculopathy
title_sort idiopathic polypoidal choroidal vasculopathy
topic choroid diseases
macular degeneration
tomography, optical coherence
fluoresce in angiography
diagnosis
diagnosis, differential
choroid hemorrhage
prognosis
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501201085C.pdf
work_keys_str_mv AT cekicsonja idiopathicpolypoidalchoroidalvasculopathy
AT risimicdijana idiopathicpolypoidalchoroidalvasculopathy
AT jovanovicivan idiopathicpolypoidalchoroidalvasculopathy
AT đorđevicjocicjasmina idiopathicpolypoidalchoroidalvasculopathy